Susie Fitzharris, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

30746 Issued in AL

Practice address

150 S. Ingleside St
Suite #7
Fairhope, AL 36532

Phone

(251) 928-0624

Fax

(251) 928-0655

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fitzharris@escc.opdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastern Shore Children'S Clinic

  • Pediatrics Physician
  • Fairhope, AL
  • NPI 1831151331
  NPD
• Eastern Shore Children'S Clinic, P.C.

  • Pediatrics Physician
  • Spanish Fort, AL
  • NPI 1447614854
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1912958240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 989",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365330989",
            "telephone_number": "251-928-0624",
            "fax_number": "251-928-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S. INGLESIDE ST",
            "address_2": "SUITE #7",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-928-0624",
            "fax_number": "251-928-0655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9603 Stagecoach Commercial Park Cir",
            "address_purpose": "LOCATION",
            "city": "Spanish Fort",
            "state": "AL",
            "postal_code": "365275525",
            "country_code": "US",
            "telephone_number": "251-928-0624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZHARRIS",
        "first_name": "SUSIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "30746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000267120",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Farrow, MSPT
• Robert F Favret Jr., M.D.
• Paul Hoke Fellers III, DMD
• Paul Hoke Fellers Jr., M.D.
• Sean Q. Fisk, P.A.
• Audrey Elizabeth Flower, DO
• Focal Point Optometric Services, LLC
• Lyndsey G Folse
• Daniel Forrest Fontenot, DMD
• David L Fore, M.D.

• Pediatrics Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.